Circumferential minimally invasive reconstruction for lumbar destructive deformity secondary to spinal gout: a case report

Spinal involvement constitutes an uncommon manifestation of gout, and destructive deformity as a consequence of spinal gout is rare. A case is presented involving a 59-year-old man diagnosed with spinal gout, which led to a destructive deformity in the lumbar region. The condition was addressed through a two-stage circumferential reconstruction procedure, including oblique lumbar interbody fusion first, followed by endoscopic decompression utilization unilateral biportal endoscopy technology and transpedicular instrumentation fixation. After surgery, the patient got normal ambulation with successful fusion at the involved segment. This report highlights the surgical strategy for addressing spinal deformity associated with gout, while also advocating for appropriate treatment strategy tailored to this rare condition.